Life-threatening bleomycin pulmonary toxicity with ultimate reversibility.

Hartmann, L C; Frytak, S; Richardson, R L; Coles, D T; Cupps, R E · Chest · 1990

case_report · Level V

Where this comes from

Abstract

A 60-year-old man with advanced seminoma was treated with four cycles of a cisplatin, etoposide and bleomycin. He then developed severe pulmonary toxicity with diffuse infiltrates as evidenced on a chest x-ray film. The room air PaO2 value was 32 mm Hg. The patient was treated with steroids and oxygen supplementation, including a high FIo2 for several days, and survived and eventually experienced marked improvement in his pulmonary status. Aggressive management of severe bleomycin-induced pneumonitis appears justified.

Medical subject headings